Saturday, February 13, 2021 12:05:03 AM
Are you sure about this statement?
Evidence demonstrates that 75 mg/l CRP is relatively low in the context of severe covid and its impact on mortality.
Elevate mortality is in fact seen in CRP over 200 mg/l.
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0242400
The vaunted tocilizumab CRP inclusion criteria of 75 mg/l is not predictive of increased of mortality.
Additionally, it is profoundly difficult to argue that, despite the 33% mortality rate, that the RECOVERY trial inclusion criteria selected for critical patients.
For review what are those inclusion criteria?
We seem to be missing typical indicators of severe and critical covid?
Where are:
Aggressive respiratory therapies?
high flow oxygen
non-invasive ventilation
invasive ventilation (intubation)
ECMO
Evidence of end organ insult or failure
multi-organ dysfunction (elevate SOFA score)
hypotension
tachycardia
I would offer that the Leronlimab CD12 trial enrolled patients substantially more critically ill than those in the failed tocilizumab RECOVERY trial.
Nonetheless, none of us outside these trials really know.
I'll wait and see the results my self very soon.
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